Anglia Lighting LED Solid State Lighting
 

Credit Account Application Form

Please enter your company details in the form below to request a credit account.
To help us process this request, please ensure all fields are completed.

   
Contact Name: *
E-mail: *
Telephone: *
Fax:
Company: *
Address: *
City/Town: *
State/County: *
Country: *
ZIP/Post Code: *
Website URL:

 

Please select the job title most relevant to yourself.

What is your annual spend on electronic components?

Please indicate your company activity

Please indicate, by clicking on the box to the left,  which of the following components you regularly use.

Batteries & Accessories   Optoelectronics
Cables & Accessories   Relays
Capacitors   Resistors
Connectors   Semiconductors
Fans   Sensors
Frequency   Solders
Fuses   Sounders
Hardware   Suppressors
Heatsinks   Switches
Inductors   Transformers
   

When you have completed your details, click on the 'Submit' button to send them to our Business Development team who will process your application. This may include a company, director, sole trader or partnership search with a credit reference agency. Any record of such a search will be covered by the Data Protection Act (1998).

An immediate credit account facility will be offered, subject to an acceptable credit rating

 

 

 

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F: +44 (0)1945 47 48 49
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